Mid-States Senior Living LLC

NPI #1063710432 in Woodland Park, Colorado

Provider Information

NPI Number
1063710432
Entity Type
Organization
Organization Name
Mid-States Senior Living LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Mar 8, 2011
Last Updated
Mar 8, 2011

Practice Location

Address
400 W MIDLAND AVE
Address 2
POB 5430
ZIP Code
80863-3144
Phone
(719) 686-8140

Authorized Official

Name
ROBERT CHARLES SCHLEICHER
Title
MANAGING MEMBER
Phone
(719) 314-7522

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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